[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-110-1-產兒科護理學-068","nurse-110-1-maternal-pediatric-068",110,1,68,"小凌，16 歲，罹患再生不良性貧血，住院接受抗淋巴球蛋白（ALG）及 cyclosporin 治療，下列護理措施何者較適當？",{"A":14,"B":15,"C":16,"D":17},"因小凌食慾不振，儘量選擇其愛吃的食物，例如生菜沙拉","青春期在意身體外觀，先暫不告知藥物有外觀改變之副作用","為避免社交隔離，鼓勵安排同學到院探訪","發燒時，避免使用 aspirin，以免延長出血時間","D",null,[],"本題考點是再生不良性貧血病童使用免疫抑制治療期間的護理。考點在於此病三系血球低下,發燒時退燒藥的選擇須避開 aspirin,因其抑制血小板功能會延長出血時間,故選 D。選項 A 錯在使用抗淋巴球蛋白與 cyclosporin 導致免疫低下,生菜沙拉等生食易帶菌,應採低菌飲食;B 錯在應誠實告知藥物副作用如多毛、牙齦增生,隱瞞不利醫囑遵從;C 錯在免疫抑制期須減少感染源接觸,不宜鼓勵大量同學探訪。判斷關鍵在於同時掌握出血與感染兩大風險。","再生不良性貧血是骨髓造血功能衰竭,紅血球、白血球、血小板全面下降,護理雙主軸是防感染(白血球低)與防出血(血小板低)。退燒優先選 acetaminophen,避免 aspirin 與其他 NSAID 影響血小板。免疫抑制治療下要低菌飲食、避免生食與人潮。cyclosporin 常見副作用包括牙齦增生、多毛、腎毒性與高血壓,需監測。記憶:『白低防感染、板低防出血、燒不用阿斯匹靈』。可連結中性球低下發燒的處置與骨髓移植適應症複習。",[24,27,29,31],{"term":25,"count":26},"再生不良性貧血",2,{"term":28,"count":10},"aspirin 抑制血小板",{"term":30,"count":10},"免疫抑制與感染",{"term":32,"count":10},"低菌飲食",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-069","小青，2 歲，罹患先天性甲狀腺功能低下（congenital hypothyroidism），下列敘述何者不適當？",69,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-1-maternal-pediatric-005","蔡女士，懷孕第 13 週，主訴上週出國到茲卡病毒疫區，她擔心胎兒會受到影響，護理師的回應，下列何者適當？",5,111,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-111-2-maternal-pediatric-019","有關新生兒蒙古斑的敘述，下列何者錯誤？",19,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-maternal-pediatric-057","小章，足月兒，出生即確診為後天免疫缺乏症候群（AIDS），若病況穩定需接種疫苗時，下列敘述何者錯誤？",57,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-031","一瓶 nystatin 懸浮液為 100,000 units\u002FmL，兒童罹患鵝口瘡需要一天四次服用，每次給予 250,000 units，請問應給予幾 mL？",31,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-maternal-pediatric-025","有關卵巢癌的致病因素，下列敘述何者錯誤？",25,115,"2026-09-04",1788510722240]